Newborn being held by her mother in their house in Mtwara, Tanzania. © 2016 Riccardo Gangale/VectorWorks, Courtesy of Photoshare, U.S. President’s Malaria Initiative EWEN-MINSMI and EN-MINI Tools for Routine Health Information Systems Data Improvement and use is a priority action to reduce maternal deaths, stillbirths, newborn deaths, and disabilities. Yet, the settings with the highest burden of deaths have the least data on coverage, equity, and quality of care—the “inverse data law.” New tools are available for improving data to track progress towards ending preventable maternal and newborn deaths, stillbirths, and disabilities. The two sets of tools guide priority actions to improve availability, quality, and use of maternal, newborn, and stillbirth indicators in routine health information systems. Designed for sub-national and national programmatic use, the tools are free, and user-friendly and include automatic analysis features (figures, tables) building on the extensively used PRISM tools. The Every Woman Every Newborn-Measurement Improvement for Newborn, Stillbirth, and Maternal Indicators (EWEN-MINSMI) Tools for Routine Health Information Systems The Every Newborn-Measurement Improvement for Newborn and Stillbirth Indicators (EN-MINI) Tools for Routine Health Information Systems The EWEN-MINSMI tools focus on maternal, newborn, and stillbirth data. These support the Every Woman Every Newborn Everywhere (EWENE) initiative (Previously Every Newborn Action Plan (ENAP) and Ending Preventing Maternal Mortality (EPMM). The tools were released in 2024 after pilot work in Tanzania by The London School of Hygiene & Tropical Medicine (LSHTM) UK and Ifakara Health Institute (IHI) Tanzania. The tools integrate maternal indicators into the EN-MINI Tools to assess data quality and use of data for a set of maternal, newborn, and stillbirth indicators. The EN-MINI tools focus on newborn and stillbirth data. EN-MINI Tools were designed through the Every Newborn – Birth Indicators Research tracking in Hospitals (EN-BIRTH) 2 study 2020-2022. This was a collaborative implementation research by LSHTM UK, IHI in Tanzania, icddr,b in Bangladesh, and D4I. An advisory group provided guidance including colleagues from WHO, UNICEF, the national governments of Bangladesh and Tanzania, and additional program newborn and measurement experts and academics. EN-BIRTH 2 was a follow-up study to the EN-BIRTH study. EN-MINI Tools have been used in five countries. Version 3 is for programmatic use and is available in 4 languages (English, French, Swahili, and Amharic). You can find details of previous versions and linked research tools here. Use of the EWEN-MINSMI tools and EN-MINI tools: NowNow To assess if we have the right data at the right time and at the right level of the health care system to improve maternal and newborn health and reduce stillbirth RegularlyTo improve data quality and use for action for every woman and every newborn, including small or sick newborns By 2030To meet global targets to end preventable maternal deaths, newborn deaths and stillbirths Click here to learn more Infographic Video New and Notable News EN-MINI: Finally, tools for combating newborn deaths are here! D4I at the International Maternal Newborn Health Conference (IMNHC) 2023 Webinar Every Newborn-Measurement Improvement for Newborn & Stillbirth Indicators (EN-MINI) Tools for Routine Health Information Systems Report Mapped newborn data availability in routine Health Information Systems EN-MINI mapping tool results: Bangladesh Brief Zana za Viashiria vya Kila Mtoto Mchanga – Uboreshaji wa Upimaji kwa Watoto Wachanga na Watoto Waliozaliwa Wafu (EN-MINI) Zana za Mifumo ya Kawaida ya Taarifa za Afya Related Resources For more resources, click here Briefs Zana za Viashiria vya Kila Mtoto Mchanga – Uboreshaji wa Upimaji kwa Watoto Wachanga na Watoto Waliozaliwa Wafu (EN-MINI) Zana za Mifumo ya Kawaida ya Taarifa za Afya Read moreEvery Newborn-Measurement Improvement for Newborn & Stillbirth Indicators (EN-MINI) Tools for Routine Health Information Systems and Findings from its Implementation in Tanzania Read moreEvery Newborn-Measurement Improvement for Newborn & Stillbirth Indicators (EN-MINI) Tools for Routine Health Information Systems (Bangla) Read moreAn Overview of the Every Newborn-Measurement Improvement for Newborn & Stillbirth Indicators (EN-MINI) Tools for Routine Health Information Systems Read more Presentations EN-MINI Tools: Training Presentation Read more Guidance & Tools Every Newborn-Measurement Improvement for Newborn & Stillbirth Indicators EN-MINI-PRISM Tools for Routine Health Information Systems Read moreEvery Woman Every Newborn-Measurement Improvement for Newborn, Stillbirth & Maternal Indicators: Scoring Guide for EWEN-MINSMI-PRISM Tool 6 Read moreEvery Woman Every Newborn-Measurement Improvement for Newborn, Stillbirth & Maternal Indicators: EWEN-MINSMI-PRISM Tools for Routine Health Information Systems Read moreEvery Newborn-Measurement Improvement for Newborn & Stillbirth Indicators EN-MINI-PRISM Tools for Routine Health Information Systems: Kiswahili Read moreEN-MINI Tools: Training Manual Read more Reports Mapped newborn data availability in routine Health Information Systems EN-MINI mapping tool results: Bangladesh Read moreEvery Newborn-Measurement Improvement for Newborn & Stillbirth Indicators EN-MINI-PRISM Tools for Routine Health Information Systems: Tanzania Pilot Study Report Read moreMapped newborn data availability in routine Health Information Systems: EN-MINI mapping tool results: Tanzania – June 2022 Read more From 2016–2020, the EN-BIRTH team completed a validation study in Bangladesh, Nepal, and Tanzania assessing measurement coverage and quality of maternal and newborn care. Findings were published in The Lancet Global Health and a series of 14 papers in BMC Pregnancy and Childbirth. More details can be found here. EN-BIRTH found newborn data quality in routine systems varied, which led to a follow-on study—EN-BIRTH Phase 2—to explore opportunities to improve data for use. The EN-MINI tools version 1, (2022) were piloted in Bangladesh and Tanzania and released in English and Kiswahili. EN-MINI tools version 2 (2023) included contributions from The Improving Quality and Use of Newborn Indicators IMPULSE research study a collaborative research study by LSHTM, IHI, WHO collaborating centre Burlo (Italy), Doctors with Africa CUAMM (Italy, Ethiopia, Central Africa Republic), and Makerere University School of Public Health, Uganda. The tools were translated into French and Amharic, with an additional research question section, added and used in Central African Republic, Ethiopia, Tanzania and Uganda between 2023-24. EN-MINI tools version 3 (2024) is for programmatic use. Prompts are included to the additional IMPULSE developed research tools available. EN-MINI and EWEN-MINSMI tools were produced with the support of the United States Agency for International Development (USAID) under the terms of the Data for Impact (D4I) associate award 7200AA18LA00008, which is implemented by the Carolina Population Center at the University of North Carolina at Chapel Hill, in partnership with Palladium International, LLC; ICF Macro, Inc.; John Snow, Inc.; and Tulane University. The views expressed do not necessarily reflect the views of USAID or the United States government.
